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    World J Gastroenterol. 2005 Nov 21;11(43):6888-90.

    Secondary pouchitis in a post-operative patient with ulcerative colitis, successfully treated by salvage surgery.

    Toiyama Y, Araki T, Yoshiyama S, Miki C, Kusunoki M.

    Source

    The Second Department of Surgery, Mie University School of Medicine, 2-174 Edobashi, Tsu, Mie 514-8507, Japan.

    Abstract

    We report a case of secondary pouchitis, defined as a mucosal inflammatory lesion in the ileal reservoir provoked by pouch-related complication following total colectomy and pouch anal anastomosis, which was successfully treated by salvage surgery. A 20-year-old woman with ulcerative colitis developed acute severe bloody diarrhea following proctocolectomy, ileal pouch-anal anastomosis and diverting ileostomy. She was diagnosed as having a secondary pouchitis mainly caused by a peripouch abscess and partly concerned with the abnormal pouch formation. The remnant rectum and ileal pouch were excised and ileal pouch-anal anastomosis and diverting ileostomy were constructed. The postoperative course was uneventful with no sign of pouchitis. Salvage surgery may be indicated to treat secondary pouchitis when caused by surgery-related complications.

    PMID:
    16425404
    [PubMed - indexed for MEDLINE]
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